Organization
PROCARE PROSTHETICS & ORTHOTICS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEPHEN BRET LEE CPO (OWNER)
(601) 664-7004
Entity
Organization
Contact information
Practice address
1050 N FLOWOOD DR, STE C1, FLOWOOD, MS 39232-9738
(601) 664-7004
(601) 664-7099
Mailing address
1050 N FLOWOOD DR, STE C1, FLOWOOD, MS 39232-9738
(601) 664-7004
(601) 664-7099
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00440983
—
MS
Enumeration date
11/21/2005
Last updated
06/11/2012
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